• Sr. HEDIS Coordinator

    Somatus (Mclean, VA)
    …plan quality programs. + Interface with data support, quality assurance team, HEDIS Quality Manager , and IT to collect data and maintain the various ... and mental well-being + Community engagement opportunities + And more! The Sr. HEDIS Coordinator will perform the functions related to the outreach, collection, and… more
    Somatus (04/25/24)
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  • Analytic Manager - Quality

    Point32Health (Canton, MA)
    …the direction of the Senior Manager , Quality Informatics, the Analytic Manager will support HEDIS and quality measurement reporting and data analysis ... for internal and external customers. + Participates in annual updates to HEDIS and quality improvement processes through analysis, application development, user… more
    Point32Health (02/23/24)
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  • Medical Management Nurse Senior-UM, CM/DM, &/or QA…

    Ventura County (Ventura, CA)
    …two (2) years of full-time experience in Case Management, Disease Management, Quality Assurance, HEDIS and/or Utilization Review. NECESSARY SPECIAL REQUIREMENTS ... Utilization Management and tasks related to Healthcare Effectiveness Data and Information Set ( HEDIS ) as well as writing reports and analyses in line with the… more
    Ventura County (02/17/24)
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  • Clinical Quality Program Manager II…

    LA Care Health Plan (Los Angeles, CA)
    Clinical Quality Program Manager II (CAHPS) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full ... Work closely with Stars Core Team (Stars Lead and Manager Stars Analytics) to lead quality reporting...Survey (HOS) Skills Required: Thorough knowledge of health plan quality ratings and Stars. Familiarity with HEDIS more
    LA Care Health Plan (04/10/24)
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  • Clinical Quality Program Manager

    Elevance Health (Atlanta, GA)
    The **Clinical Quality Program Manager ** is responsible for serving as a liaison with and overseeing the Clinical quality improvement ... is in place. + Develops performance improvement plans and oversees the clinical quality improvement activities/projects including HEDIS to improve the quality more
    Elevance Health (05/02/24)
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  • Sr Mgr,Project Prog Mgt (IC)

    CVS Health (Hartford, CT)
    …Records (EHRs) + In depth knowledge of Healthcare Effectiveness Data and Information Set ( HEDIS ) and National Committee for Quality Assurance (NCQA) + 3 - 5 ... health care more personal, convenient and affordable. Position SummaryAs a Senior Manager , you will be part of the Clinical Platform Solutions Interoperability team… more
    CVS Health (03/20/24)
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  • Regional Practice Manager

    VIP Care (Tampa, FL)
    …patients and achieve: Better Care. Better Outcomes. Better Health. Regional Practice Manager (emote from home/extensive local travel) THE OPPORTUNITY This is an ... others and thrives on fast-paced change. The Regional Practice Manager will lead our current primary care physician clinics...identification of members to be scheduled for appointments + Quality Program + Accessing various office EMRs to review… more
    VIP Care (04/08/24)
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  • Prospective Programs Manager , Medicaid…

    CVS Health (Hartford, CT)
    …and state specific contractual requirements. The ideal candidate will possess strong HEDIS knowledge and/or Quality experience. Required Qualifications + 3+ ... Preferred Qualifications + Clinical degree (RN) or previous work in Risk Adjustment, HEDIS or quality . + 2+ years in of Medicaid or relevant health care industry… more
    CVS Health (04/06/24)
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  • Quality Program Development Manager

    Centene Corporation (Trenton, NJ)
    …on a regular basis.** **Position Purpose:** Functions as a program development manager in collaboration with Quality , Health Services and Operations business ... of experience in design, develop and implement STARS, CAHPS, HEDIS and other enterprise quality related programs...implement STARS, CAHPS, HEDIS and other enterprise quality related programs across a variety of settings including:**… more
    Centene Corporation (04/06/24)
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  • LVN - Quality Assurance- Full Time

    Universal Health Services (Riverside, CA)
    …random mini- surveys at all locations to maintain AAAHC "readiness". 7. Assist Manager , Quality , and/or Regional Director, Quality and/or Medical Director ... can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to… more
    Universal Health Services (04/27/24)
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  • Medical Assistant, CenterWell

    Centerwell (Leesburg, FL)
    …Assists with EKG, wound care, and ear lavage + Assists with documentation of HEDIS quality measures + Experience documenting in the patient's electronic medical ... into electronic medical records and identifies and carries our HEDIS and STARS quality measures. Takes vital...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    Centerwell (04/28/24)
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  • VSP Medical Assistant Bilingual English…

    Centerwell (Kissimmee, FL)
    …patient information into electronic medical records and identifies and carries our HEDIS and STARS quality measures. Takes vital signs, administers medication, ... health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality more
    Centerwell (03/20/24)
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  • Population Health Manager

    UCLA Health (Culver City, CA)
    …approach for outreach activities in support of enhancing and maintaining performance on quality measures; this includes HEDIS and other value-based care ... Venice Family Clinic is a leader in providing comprehensive, high- quality primary health care to people in need with...a difference in the community as a Population Health Manager with our Venice Family Clinic team. In this… more
    UCLA Health (05/02/24)
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  • Program Manager IV - Value Based…

    Cleveland Clinic (Cleveland, OH)
    …and utilization data preferred. + Knowledge of ACO, Medicaid, and Medicare Advantage quality measures, NCQA and HEDIS standards, and Medicare Advantage star ... As part of the CCHS Value Based Performance team, the Program Manager will help support value based contracting, implementation, program management, and performance… more
    Cleveland Clinic (04/25/24)
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  • RN/NP/PA QI Manager

    Western Sierra Medical Clinic Inc (Grass Valley, CA)
    JOB TITLE: RN/NP/PA Quality Improvement Manager REPORTS TO: Chief Medical Officer LOCATION: Grass Valley, CA GENERAL STATEMENT OF DUTIES: Under the direction of ... the Chief Medical Officer, the RN/NP/PA Quality Improvement Manager is responsible for the...of Operations and Chief Information Officer in regards to Quality measures of the health insurances, HEDIS ,… more
    Western Sierra Medical Clinic Inc (04/16/24)
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  • Population Health Strategy Manager

    Healthfirst (New York, NY)
    …works closely with other clinical teams to help the organization achieve top quality performance on key indicators like HEDIS , QARR, and Medicare Advantage ... Population Health Strategy leads organizational efforts to improve Healthfirst's performance on quality rating programs. The Manager will be assigned to support… more
    Healthfirst (03/09/24)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Spanaway, WA)
    …as they apply to health centers or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA trainings ... founded in 1978, is a community-based organization committed to providing quality , comprehensive health, human, housing, educational and cultural services to diverse… more
    Sea Mar Community Health Centers (04/19/24)
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  • Medicare Provider Performance Manager

    The Cigna Group (Miramar, FL)
    **Role Summary** The Provider Performance Enablement (PPE) Manager is a key member of a cross-functional, collaborative organization (which includes Market Provider ... Development & Solutions). Reporting to the Provider Performance Senior Manager /Operations Director/Operations Senior Director (Market President), the Provider Performance… more
    The Cigna Group (04/30/24)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Vancouver, WA)
    …as they apply to health centers or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA trainings ... founded in 1978, is a community-based organization committed to providing quality , comprehensive health, human, housing, educational and cultural services to diverse… more
    Sea Mar Community Health Centers (05/02/24)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Tacoma, WA)
    …they apply to health centers + Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA ... founded in 1978, is a community-based organization committed to providing quality , comprehensive health, human, housing, educational and cultural services to diverse… more
    Sea Mar Community Health Centers (05/01/24)
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